El Paso Hco Llc in Peoria - Skilled Nursing Facility

El Paso Hco Llc - NPI 1568562858

El Paso Hco Llc is a Skilled Nursing Facility in Peoria, Illinois. El Paso Hco Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for El Paso Hco Llc is 1568562858. The last update date is 2020-03-19.

El Paso Hco Llc's current location address is 830 W Trailcreek Dr, Peoria, Illinois. You can contact this provider via phone number 3096918113 and fax number 3096918622. The mailing address for El Paso Hco Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization El Paso Hco Llc
Address 830 W Trailcreek Dr, Peoria, Illinois
Phone Number 3096918113
Fax Number 3096918622
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Petersen Mark
Telephone Number 3096895880

NPI Number Detail

NPI Number 1568562858
Provider Enumeration Date 2006-09-25
Last Updated Date 2020-03-19

Provider Mailing Address Detail

Address 830 W Trailcreek Dr
City Peoria
State Illinois (IL)
Post Code 616141862
Phone Number 3096918113
Fax Number 3096918622

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 46706
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
270376016013 IL --

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FAQs about El Paso Hco Llc

What is the El Paso Hco Llc's unique identification number?

The El Paso Hco Llc has been assigned the NPI (National Provider Identifier) Number 1568562858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of El Paso Hco Llc?

The El Paso Hco Llc is physically situated at 830 W Trailcreek Dr, in the city of Peoria, state of IL, with the postal code 616141862.

What is the area of specialization for El Paso Hco Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for El Paso Hco Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1568562858 to El Paso Hco Llc?

The Centers for Medicare & Medicaid Services assigned the 1568562858 to El Paso Hco Llc on 2006-09-25.

As of what date were the details related to El Paso Hco Llc most recently updated or revised?

The information pertaining to El Paso Hco Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-19.

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